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Individual

JASMINE VAN-NOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Mailing address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(682) 706-0059

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34872
TX
106E00000X
Assistant Behavior Analyst
0-15-6753
TX

Other

Enumeration date
11/29/2016
Last updated
04/05/2019
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